Question

Identify three serologic tests that may be positive or elevated in rheumatic arthritis. What patient education should you provide?

Answer 1

Serological test:

1. C-Reactive protein - In rheumatoid arthritis C-reactive protein has been elevated due to increased inflammation of the body.
2. Rheumatoid Factor - RA factor should be positive. An increased RA factor has been produced to act against gammaglobulins.
3. Anti-CCP - Increased anti-CCP levels show the increased risk of Rheumatoid arthritis. This test looks for a specified anti-cyclic citrullinated peptide which will be greater 20Units per millimeter.

Patient education:

• Educate the patient about the procedure of serological testing.
• Educate the patient that the test results don't confirm the diagnosis of rheumatoid arthritis.
• Educate the patient that the test helps to detect the immune response of the patient.
• Educate to follow up with test results.